<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">第一天 签到获得积分</label>
            <div class="layui-input-block">
                <input type="text" name="first_day" class="layui-input" lay-verify="required" placeholder="请输入第一天 签到获得积分" value="{$row.first_day|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">第二天  签到获得积分</label>
            <div class="layui-input-block">
                <input type="text" name="second_day" class="layui-input" lay-verify="required" placeholder="请输入第二天  签到获得积分" value="{$row.second_day|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">第三天  签到获得积分</label>
            <div class="layui-input-block">
                <input type="text" name="third_day" class="layui-input" lay-verify="required" placeholder="请输入第三天  签到获得积分" value="{$row.third_day|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">第四天  签到获得积分</label>
            <div class="layui-input-block">
                <input type="text" name="fourth_day" class="layui-input" lay-verify="required" placeholder="请输入第四天  签到获得积分" value="{$row.fourth_day|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">第五天 签到获得积分</label>
            <div class="layui-input-block">
                <input type="text" name="fifth_day" class="layui-input" lay-verify="required" placeholder="请输入第五天 签到获得积分" value="{$row.fifth_day|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">第六天 签到获得积分</label>
            <div class="layui-input-block">
                <input type="text" name="sixth_day" class="layui-input" lay-verify="required" placeholder="请输入第六天 签到获得积分" value="{$row.sixth_day|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">第七天</label>
            <div class="layui-input-block">
                <input type="text" name="seventh_day" class="layui-input" lay-verify="required" placeholder="请输入第七天" value="{$row.seventh_day|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">状态</label>
            <div class="layui-input-block">
                {foreach $getStatusList as $k=>$v}
                <input type="radio" name="status" value="{$k}" title="{$v}" {in name="k" value="$row.status"}checked=""{/in}>
                {/foreach}
            </div>
        </div>

        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>